| NPI | 1134462831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA67852) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: FL BMO73476) |
| 374U00000X Home Health Aide (Licence: FL CNA139605) | |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2013-04-01 |